Individual
LEE ALEXANDER BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 S MAIN ST, MOUNT HOLLY, NC 28120-1620
(704) 587-2400
(704) 587-2401
Mailing address
PO BOX 601067, CHARLOTTE, NC 28260-1067
(704) 587-2400
(704) 587-2401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24346
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080119381
RAILROAD MEDICARE
NC
01
—
14180
NCBCBS
NC
05
—
1962422071
—
NC
05
—
8914180
—
NC
05
—
N24346
—
SC
Enumeration date
07/20/2006
Last updated
12/30/2016
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